Posted by J Kelly on March 15, 2016, at 11:50:54
In reply to Re: Magic Pill » J Kelly, posted by SLS on March 15, 2016, at 11:16:27
> > > > No, I know there are things left to try. That's mainly why I'm here. As you know, I'm looking at Lamictal and Nardil. In that order.
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> > > Interestingly, I have not had a manic episode since starting Abilify in 2002, despite quite a few trials of MAOI-TCA combinations. Abilify is a dopamine system stabilizer due to its partial agonist properties on dopamine receptors. I attribute the improvement in depression to this. So... You might want to try adding Abilify to Lamictal before starting Nardil. If it helps, you can then try to discontinue the Zyprexa.
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> > I would love to replace Zyprexa with Abilify. My only objection is the akathisia. I had it pretty bad when taking Abilify. Can you recommend anything to counter this? Would the Lamictal help?
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> Can you describe the symptoms of akathisia that you experienced? What was the dosage that you tried?Yes. It was the feeling that I couldn't sit still even if I wanted to. Like I HAD to get out of the chair and walk around. My legs couldn't remain still. I'd compare it to RLS. I don't remember the dose but I believe it was fairly low. I had akathisia at the first dose I tried.
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> I might stay away from Abilify if I were you. You may, instead, opt for trying Rexulti (brexpiprazole). It is a relative of Abilify that has a reduced risk of producing akathisia.Thanks. I'll add Rexulti to the list I want to run by my pdoc. At some point I'm afraid I will need to replace Zyprexa. The weight issue is a deal breaker for me. Zyprexa (the poster) has had luck with splitting the dose in regards to weight gain. I'm giving this a try. Fingers crossed :)
Jade
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> - Scott
poster:J Kelly
thread:1086859
URL: http://www.dr-bob.org/babble/20160306/msgs/1087179.html